52D0390064 CLIA NUMBER - SAINT JOHN'S COMMUNITIES INC

Laboratory Demographics

  • CLIA Code: 52D0390064
  • Facility Name: SAINT JOHN'S COMMUNITIES INC
  • Facility Address: 1840 N PROSPECT AVE
    MILWAUKEE, WI
    ZIP 53202
  • Facility Phone: 414 272-2022
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. MARY MILLIREN
  • NPI Number: 1295866325
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D0390064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAINT JOHN'S COMMUNITIES INC
Street 1840 N PROSPECT AVE
City MILWAUKEE
State WI
ZIP 53202
Phone 414 272-2022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. MARY MILLIREN

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This page was last updated on: 9/29/2025